Healthcare Provider Details

I. General information

NPI: 1366265019
Provider Name (Legal Business Name): MEAGAN MARIE RUFFING LPC, LAMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/01/2024
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1061 QUAIL HOLLOW DR
BENTONVILLE AR
72713-3094
US

IV. Provider business mailing address

1061 QUAIL HOLLOW DR
BENTONVILLE AR
72713-3094
US

V. Phone/Fax

Practice location:
  • Phone: 479-640-6329
  • Fax:
Mailing address:
  • Phone: 479-640-6329
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberP2407013
License Number StateAR
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberM2501002
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: